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目的:观察中西医结合非手术治疗结肠慢传输型便秘的临床疗效。方法:收集中国人民解放军第150中心医院全军肛肠外科研究所2008年4月-2010年4月诊治的80例结肠慢传输型便秘患者,随机分为西医非手术组和中西医结合组各40例,西医非手术组采取渗透性泻剂西药福松和莫沙必利联合治疗,中西医结合组在西医非手术组基础上,针对气虚、血虚和寒凝的患者采取中医中药辨证施治。比较两组的治愈率和复发率。结果:①西医非手术组与中西医结合组的治愈率分别为57.5%(23/40)和80%(32/40),两组比较差异有统计学意义(χ2=4.713,P=0.030)。②西医非手术组、中西医结合组复发率分别是56.5%(13/23),28.1%(13/32),两组比较差异有统计学意义(χ2=4.496,P=0.034)。结论:中西医结合治疗结肠慢传输型便秘较西医非手术治疗治愈率高,复发率低。
Objective: To observe the clinical efficacy of non-surgical treatment of colonic slow transit constipation with integrated traditional Chinese and western medicine. METHODS: Eighty patients with slow transit constipation were enrolled in this study. The patients with constipation of colonic transit who were diagnosed and treated from Apr. 2008 to Apr. 2010 in the Anorectal Surgery Institute of the Central Military Hospital of the Chinese People’s Liberation Army were randomly divided into three groups: non-operation in Western medicine and Integrative Medicine Cases, Western non-surgical group to take the permeability of catharsis Fusong and Mosapride combined treatment of Integrative Medicine Group on the basis of Western non-surgical group, for qi deficiency, blood deficiency and cold condensate in patients taking traditional Chinese medicine syndrome differentiation. The cure rate and recurrence rate were compared between the two groups. Results: ① The cure rate of non-surgical WM combined with WM was 57.5% (23/40) and 80% (32/40), respectively. The difference between the two groups was statistically significant (χ2 = 4.713, P = 0.030) . ② The recurrence rates of non-surgical WMD group and TCM-WM group were 56.5% (13/23) and 28.1% (13/32), respectively. There was significant difference between the two groups (χ2 = 4.496, P = 0.034). Conclusion: Integrative medicine treatment of slow transit constipation than Western non-surgical treatment of high cure rate, recurrence rate is low.